Piles: how common it is in the society. 


Piles in medical term referred to as hemorrhoid.

By Mahmood Hussain Karachi Pakistan 08 September 2018 for www.babyfirst.com.pk. Having an objective is to create awareness among their fan and overall to the general public for their wellness.

Piles are scientifically termed as hemorrhoid. This condition refers to the swelling or inflamed veins of the lower part of human body that is rectum and anus, which is excretory part of the body of solid wastes. The condition appears in form of swelling at and around rectum and anus, which appear in shape of enlarged blood vessels. The condition leads to internal hemorrhoid which may be deep inside the rectum and difficult to palpitate or feel. Piles can be external which appears in the area of the anus and it appears outside mainly appears when stool is passed on. Courtesy of website of The Aga Khan University Hospital (AKUH).

How common is the pile in Indo-Pakistan? A detailed study was conducted by the Rajiv Gandhi University of Health Sciences, Bangalore in India. As per the estimate within India, approximately 41 million patients are suffering from piles, and each year more than a million new patients are added to it. This means piles or hemorrhoids is the most common ailing condition of health. Piles are one of the common disease/ symptoms from which human being suffer and also many times in their lifetime.

It is estimated nearly 20% of the population is hit by piles. It commonly observes “Most of the piles patient suffer in silence, instead of discussing with their doctors”.

The patient who suffers from plies or hemorrhoid (bleeding condition), the situation may flare up. The condition of pile appears due to increasing pressure at the lower part of the body the rectum. Piles (hemorrhoids) is more commonly observed in the adult. It is found the number of people suffering from hemorrhoid don’t complain about its symptoms. In case of the high rate of BMI (Obesity or overweight) can be regarded also for the cause of hemorrhoids. Reference Int J Colorectal Disease. 2012 Feb 27(2) “The prevalence of hemorrhoids in adults”.

Numerous factors leading to piles are:

  • Stress and straining during bowel movement. • It may be due to constipation or severe diarrhea,
  • Sitting regularly for a long time or remain in a stationary position for the longer duration.

Symptoms of Piles mostly observe are

  • Bleeding during passing a stool, which may be painless.
  • The blood observes during the passing of feces are bright red in color and may strain stool.
  • An itchy feeling in the lower part of body especially anal part of the body.
  • Perianal swelling is observed, in this condition collection of pus under the skin which surround the anus area
  • Discharge of mucus from the anus.

Why piles are so common.

The incidence of Piles is growing, this is due to poor dietary habit and a sedentary lifestyle. This condition is increasing due to the following factors:

  • More consumption of low fiber content in the food,
  • Eating more of processed food which is readily available and attract people because of the aroma and display.
  • Inactive lifestyle, as well as mostly and frequently, engage in internet and social media and desk-bound lifestyle.

These above-mentioned factors are contributing towards the increase in the incidence of the pile and obesity.

The overweight and obese person will easily become the victim of piles. Obesity is one of the risk factors for piles, this is due to the building of fat around the anus and which lead to exert pressure on the veins around anus while excreting, this result in fresh bleeding. The problem of hemorrhoid is mostly aggravated or intensified because of obesity. This is commonly observed because of poor or inadequate intake of low fiber diets and low or scant fluid intake especially of water.

Hemorrhoid or piles, this condition develops around the anus. Which result in inflammation and swelling of the veins around and inside the anus. In this condition, the patient or sufferer feel severe pain and irritation around the lower part of the body. He / She feel uncomfortable while in sitting position.

The incidence of hemorrhoids within Indo-Pakistan currently has increased tremendously because of poor dietary habit and changing or inactive lifestyle.

Constipation is one of the leading factors towards an increase in the piles’ incidence. Constipation of any form whether it is frequent, chronic or severe these contribute in increasing its chances. This result in swelling of veins and weakens the muscles of the anus. Constipation condition is appearing in the form of endemic in Indo-Pakistan. Reason for its spread is inadequate intake of diet which are devoid of fiber, fruits, vegetable and whole grain. The second contributing factor is the excessive consumption of processed food.

Due to constipation which causes straining and also exerts pressure on the rectal arteries and veins. This is evident in form of swelling of veins and anal muscle becomes weak.

Diarrhea may lead to piles if it of frequent nature or long-lasting. It may be painful, the reason is pressure is exerted on the muscle of the anus.

Sitting for long hour likely to increase pressure on the anal veins within the body and this lead to inflammation and later on towards staining. It is advisable to keep changing your postures and take steps or walk to ease yourself. There are various reports which state seated for long time or hours in a day will lead to the onset of piles. It is also recommended to avoid spending too much of the time on the toilet seat.  

How to cure piles condition?

Management of Piles and how to cure?

  • Work on to reduce the pain and burning sensation. In this condition, there is swelling or inflamed veins of the lower part of human body refer to the rectum and anus.
  • It is good to have a warm bath which soothes the pain.
  • Soak and immerse the lower part of the body for 10 to 15 minute in the bathtub filled with warm water.
  • Consider using wipes or cream available at chemist shop. This may help in giving soothing effect and ease in relieving pain and itching condition.
  • Use painkiller to reduce the pain intensity.
  • Use wipes or cream available on over-the-counter at chemist shop. This can soothe pain and itch with no side effects.
  • Icing also helps in itching condition in Piles
  • Don’t scratch the affected area and apply cotton for it.

Home remedy and treatment of Piles (Hemorrhoid). 

Simple home remedies provide dramatic relief in the condition of hemorrhoid. To overcome the situation and avoid occasional flare-ups try below recommended.

Increase use of fiber in the daily diet and to be consume regularly.

Regular and daily use of fiber supplements helps in decreasing bleeding due to hemorrhoid, the inflammation, and enlargement.

In the condition of piles, patient mostly suffers from constipation or irregular bowel movements. This condition may be relieved by regularly eating high fiber supplements such as Metamucil or Citrucel.

Also use adequate fluid along with fiber which will help in softening of stool, which reflects in ease of passing the stool. This will also lead to less pressure exerted in the affected area by hemorrhoid.

It is also recommended to use high fiber content foods such as beans, wheat, broccoli oat bran, use of fresh fruits. These recommended foods, its consumption help in reducing bleeding due to hemorrhoid and irritation at the anus.

The consumption of high fiber rich food also reduces irritation due to little or minute pieces of stool that are trapped in and around the blood vessel which are swollen.

Exercise and work out regularly. Recommended is to have moderate aerobic exercise routinely. These are such as brisk walking of 20–30 minutes a day, this may help to stimulate bowel function and ease of passing stool.

Please ensure when is the feeling to empty the bowel, immediately go to the bathroom and not to delay for the convenient time to defecate. If it is delayed chances are stool can back up. This may result in increased pressure and straining and will lead to injuring or hurting the excretory path.

It is needed to schedule and fix a time for each day to sit on a toilet seat for a few minutes, this will help in developing a routine habit and schedule time for excretion.

Warm water bath as recommended by experts of 20 minutes the after bowel movement. They also recommend Sitz (warm water) bath of 2-3 times a day. Sitz bath is word drive from German word mean to sit. This warm water bath gives relief from irritation, itching and spasms at anus muscle. Toilet tubs are available in the market which can serve the purpose within limited space.

After taking the warm bath please ensure to softly dry out the anal area. Please don’t rub or wipe the anal area.

Topical use of ointment, for the treatment of hemorrhoid, are available over the counter on chemist shops. These contain local anesthesia when applied to the affected area it soothes pain and itching.

Ice cubes can be applied to the affected area that is anus for few minutes may also in reducing pain and swelling.

Adopt the habit of using cushion while sitting instead of the hard surface. This will also help in reducing the swelling in the affected area of the anus as well as avoid the formation of the new blister.

Few of the times hemorrhoid will not be managed by home recommended or conservative treatment. In these cases, if the symptoms exist and condition of internal hemorrhoid persist or prolapsed. Now is the time to talk to your physician or surgeon for proper treatment.

This article is written by Mahmood Hussain for Baby First Pakistan website, Facebook, Twitter, Linkedin and other social and digital media.

About Mahmood Hussain

Professional Experience More than 36 years work experience in Healthcare & Pharmaceutical sectorDirector & General Manager Baby First (Pvt.) Ltd Pakistan March 2011 – till to date I have been associated with Baby First (Pvt) Ltd for more than 5 years. It is advisory, community and social interaction medium for parents 16-38 years and babies 0-6 years.General Manager Aga Khan Health Service Pakistasn December 2005 – December 2007 (2 years 1 month)Based at Karachi Pakistan Worked as General Manager managing Karachi & Baluchistan Health care services of AKHSP which includes primary and secondary health care centers and diagnostic centers on all areas nearly 102 centers which include three leading hospitals in Karachi.General Manager Janssen Cilag (Johnson & Johnson) February 1998 – January 2005 (7 years)Education MBA, Marketing 1995 – 1996, Preston University MSc, Biochemistry 1970 – 1974, Karachi University

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